| NPI | 1164898458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801106385) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801100984) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2024-09-20 |